Individual provider Active NPI

John P Downer, O.D.

  • Optometrist
  • Beavercreek, OH
National Provider Identifier
1922062769
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5025 T1902 Issued in OH
Practice address
2468 Dayton Xenia Rd
Beavercreek, OH 45434-7168
Phone
(937) 426-7787
Fax
(937) 426-7782
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5025 T1902 OH Primary

Addresses

Primary practice location

2468 Dayton Xenia Rd
Beavercreek, OH 45434-7168

Mailing address

2468 Dayton Xenia Rd
Beavercreek, OH 45434-7168
Phone (937) 426-7787

Other identifiers 1

IdentifierTypeStateIssuer
2219656MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000296 OH Practitioner - Optometry 0345137741 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5025 T1902OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Sep 13, 2022 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Sep 13, 2022 Accepting new patients
Kara S Hampton Optometrist Past Accepting new patients
John P Downer, OD Optometrist Past Accepting new patients
Springboro Vision, LLC Optometrist PastSince Dec 23, 2018 Accepting new patients
Dayton Glaucoma and Cataract Consultants PastSince Aug 23, 2020 Accepting new patients
Matthew L. Sprowl, MD, Inc. PastSince Jul 1, 1996 Accepting new patients

Locations

2468 Dayton Xenia Rd
Dayton, OH 45434
Phone (937) 426-7787

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1922062769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2468 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454347168",
            "telephone_number": "937-426-7787",
            "fax_number": "937-426-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2468 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454347168",
            "telephone_number": "937-426-7787",
            "fax_number": "937-426-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNER",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5025 T1902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2219656",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.